Individual
MRS. JESSICA ANN LAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12 JEFFERSON BLVD, STATEN ISLAND, NY 10312
(718) 966-0317
(917) 791-8248
Mailing address
12 JEFFERSON BLVD, STATEN ISLAND, NY 10312
(718) 966-0317
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001721
NY
Other
Enumeration date
05/17/2021
Last updated
12/01/2022
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